Organization
COMMUNITY PHYSICIANS ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILAH RANGAVIZ (CFO)
(617) 313-1350
Entity
Organization
Contact information
Practice address
92 HIGHLAND ST, MILTON, MA 02186-3800
(617) 696-4600
(781) 986-0058
Mailing address
32 S MAIN ST, SUITE 100, RANDOLPH, MA 02368-4835
(781) 986-6078
(781) 986-0058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9777199
—
MA
01
—
M15986
BLUE CROSS INDEMNITY
—
Enumeration date
09/13/2005
Last updated
04/16/2025
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